This course includes the recording of a live Instructional Course from the 2023 AOSSM Annual Meeting which took place in Washington, DC.

IC 101

Title: A Case Based Approach for Meniscus Repair and Transplantation: Discussing Up to Date Indications, Techniques, and Biologic Augmentation  

Course Description:

The meniscus is vital to normal knee function and the health of the articular cartilage.  While meniscus tears are very common, we proportionately devote little time and resources into improving our surgical indications and technique for meniscus repair, preservation and restoration.  Recently there have been advances in recognition of tear pattern and surgical treatment of meniscus pathology.  As a surgeon, it is important to understand how and when patients can benefit from these procedures. This course will provide a case-based approach to guidelines on how to recognize and treat a variety of meniscus pathology in the isolated and concomitant setting.  Recognition of specific tear patterns including full-thickness radial tears, complex tears, extrusion and root tears will be emphasized as well as indications for meniscus transplantation.  Variations of surgical techniques, such as newer all-inside techniques, gold standard repair techniques, novel centralization techniques and transplantation techniques will be covered.  In addition, emerging biologic augmentation will be discussed.

Learning Objectives:

• Participants should be able to understand how to recognize tear patterns from preoperative MRI and intraoperative arthroscopy and utilize this information for planning and execution of meniscus preservation techniques.            
• At the completion of this session, participants should be able to understand indications for meniscus repair in the active patient, pearls, and pitfalls of a variety of repair techniques, as well as anticipated outcomes.  
• At the completion of this session, participants should be able to recognize complex tears patterns, such as meniscus root tears and radial tears, and understand treatment options, including a variety of repair techniques.
• Participants should be able to understand indications for meniscus transplant, current controversies, and expected outcomes in the setting of meniscus transplantation and concomitant combined procedures, such as osteotomy and ligament reconstruction.

Faculty:

James Lee Pace, MD

James Carey, MD, MPH

Thomas R. Carter, MD

Jorge Chahla, MD, PhD

Brian J. Cole, MD, MBA

Wayne K. Gersoff, MD

Laith M. Jazrawi, MD

Aaron J. Krych, MD

Matthew T. Provencher, MD, MBA, MC USNR (Ret)

Scott A. Rodeo, MD